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client consent and consultation form

for Microblading / nano brows / combi brows / ombre brows treatment. 

Between you the client (named below) and Ketna Butron,  Ketna Butron Makeup and Microblading

Do you suffer from Haemophilia, Diabetes mellitus (diabetes), Hepatitis A, B, C, D, E, F, HIV  +,Skin diseases, Eczema, Allergies, Autoimmune diseases, herpes, shingles, cold sores, infectious diseases / high fever Epilepsy, Cardiovascular problems including blood pressure concerns?                  


Are you taking medication for blood thinning (anticoagulants), pregnant or breastfeeding, taking any medications on daily basis, have a pacemaker, have problems with healing of wounds, consumed drugs or alcohol in the last 24 hours, undergone surgery in the last 14 days undergo, exposed to radiation or had any other medical interventions? 

All information will be handled with the upmost confidence. 


Ketna Butron Makeup and Microblading accepts liability in compliance with the legal measures and regulations in the case of negligence or carelessness or intentionally or negligently caused injuries or threat to life, body and health. Ketna Butron Makeup and Microblading is liable for violations of the obligations specified under the Agreement.



The client is informed in detail by Ketna Butron Makeup and Microblading about specific risks of eyebrow drawing treatment using microblading technique. 


The following risks are specifically explained to the client: 

  • During the treatment, despite the staff expertise and all the precautionary measures, the risk skin trauma/damage is possible. 

  • Despite the application of the most advanced and the top quality pigments, allergic reaction is possible but rare. The client is informed about this and he/she assumes liability. 

  • During and after the treatment temporary swelling, redness and/or itching may occur. Experience tells us that these symptoms are temporary. 

  • Depending on the skin structure after the first treatment small scabs with a loss of drawn hairs may occur and colour intensity may change. In the first seven days eyebrows are up to 40% darker and 10-15% thicker. Colour i.e. colour reflection depends on the natural skin pigment. The shape is determined according to the face proportions. 

  • Symmetry is determined digitally, with closed eyes because of the negative impact of facial expression. 

  • The pigment is absorbed differently due to differences in the skin quality, thus there is no warranty for the treatment success. 

  • Depending on the skin structure it should be noted that change in the colour intensity is possible and that one or more additional treatments will be required. 

  • The minimum or maximum duration of eyebrow drawing treatment cannot be specifically determined with certainty, nor can the warranty be given on performed treatment. 


The first correction is done four to six weeks after the treatment. For oily skin it is necessary to perform more corrections. 

Permanent make-up always leads to the skin injury. Therefore, it is important to carefully and gently nurture your skin after the treatment to allow healing without complications. Inadequate care in healing phase of the skin can lead to poor results and cannot be liable for it. 


In the next seven days the client is required to pay attention to the following: 


Half an hour after the end of the treatment eyebrows should be thoroughly rinsed with lukewarm water/ Phi aftercare wipe, and then a thin layer of skin candy shall be applied. This procedure shall be repeated every hour, or at least 5 times a day to prevent the scab formation. 


For post-treatment care use only provided cream or if emergency pure Vaseline/Coconut oil.  Please do not use any other creams except the ones provided to you in order to prevent possible infections or allergic reactions.


In the first two weeks after the treatment avoid public bathing, sunbathing, tanning salon, sauna, beauty treatments and intense training accompanied by sweating (sport activities), contact with the dust (household chores, etc.). 


Ketna Butron Makeup and Microblading is not liable in case of improper post-treatment care.

Thanks for submitting!

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